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1417586173
SAMUEL LOGAN
AURORA, CO
NPI
1417586173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-05
Last Update Date
2022-04-20
Business Address
SAMUEL LOGAN MD
12801 E 17TH AVE STE 4120
AURORA, CO 80045-2530
Phone number: 720-848-0597
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Mailing Address
SAMUEL LOGAN MD
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number:
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